Individual provider Active NPI

Ashley Rhoads, LICSW, LADC

  • Clinical Social Worker
  • Cloquet, MN
National Provider Identifier
1184228660
Registry record updated Nov 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
25661 Issued in MN
Practice address
1102 Cloquet Ave
Cloquet, MN 55720-1620
Phone
(218) 591-1068
Fax
(218) 499-7001
NPI assigned
Nov 25, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 305089 MN
Clinical Social Worker 1041C0700X 25661 MN Primary

Addresses

Primary practice location

1102 Cloquet Ave
Cloquet, MN 55720-1620

Mailing address

1102 Cloquet Ave
Cloquet, MN 55720-1620
Phone (218) 591-1068

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211130000134 MN Practitioner - Clinical Social Worker 1557751906 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Birch and Pine Counseling PLLPGroup PAC ID 9436525482, 5 clinicians

Practice addresses (Care Compare)

1618 Cloquet Ave
Cloquet, MN 55720-1948
Phone (218) 451-2116

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
305089MNMDAddiction (Substance Use Disorder) Counselor
25661MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Birch & Pine Counseling PLLP Clinical CurrentSince Apr 18, 2022 Accepting new patients
Brightwater Health Dba Human Development Center Addiction (Substance Use Disorder) PastSince Nov 29, 2020 Accepting new patients

Locations

1618 Cloquet Ave
Cloquet, MN 55720
Phone (218) 451-2116

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1606262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606262400000",
    "number": "1184228660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 CLOQUET AVE",
            "city": "CLOQUET",
            "state": "MN",
            "postal_code": "557201620",
            "telephone_number": "218-591-1068",
            "fax_number": "218-499-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 CLOQUET AVE",
            "city": "CLOQUET",
            "state": "MN",
            "postal_code": "557201620",
            "telephone_number": "218-591-1068",
            "fax_number": "218-499-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHOADS",
        "first_name": "ASHLEY",
        "credential": "LICSW, LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-25",
        "last_updated": "2020-11-25",
        "certification_date": "2020-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "305089",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "25661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cloquet, MN

Sources for this page

Verify at the official NPI Registry.